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1245479708
DAVID FARQUE
GROTON, CT
NPI
1245479708
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2009-02-06
Last Update Date
2009-02-06
Business Address
-- DAVID FARQUE
124 LOCUST CIR
GROTON, CT 06340-3032
Phone number: 860-447-9231
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Mailing Address
-- DAVID FARQUE
124 LOCUST CIR
GROTON, CT 06340-3032
Phone number: 860-447-9231
Copy
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